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10567 SW TUALATIN DRIVE ■ 10567 SW TUALATIN DRIVE I v n Ln 0 INSPEcllio N NOTICE ( r City of Tigard Building Department 13125 IM Hall Blvd. Tigsrd, Oreqon 47223 Inspection Line (Rec-43--Phons): 6.'t9-4175 Rugines" Phone: 634-4171 Inspection: Footing Plbg. Unaerslab Mach. Rough-in Appr-/Sdwl.k Found. Plbg. Top Ort Gas Line FTNAL: Poet/Beam Struct. San. Sewer Framing -81do. Poet/Beal Mech. Rain Drain insulation -Plumb. Plbg. Underfloor Neter Lin,, Gyp. Bd. -Mech. Date Requeated:_,/0 —01/ —Times —AM PM Address: _'a'G� ,-�� ( , Pbrmitt: Builders ------- THE FOLLON:NG CORRECTIONS Agit REQUIREni J — Inspectors r at9;l �—APPROVED -- DISAPPROVEDAPPROV1, SUBJECT TO ABOVE -----Call For Reinsp. 6TA v CITY OF TIVAPD My0 PLUMPING F'E Rh-I T � �� PERMIT #I. . . . . . . : P L M 9 1 --1211-3 6 COMMUNITY DEVELOPMEMT DEPARTMENToil ca 13126 SW Hall BNd. P.O.Box 28397,Tgiud,Oregon 97'.0 (103)d31?-4175 �_ II. 41 i 1 UA'rE'_1111 ITE_ ADDRESS. . . 10567 SW i•UALATIN DR PARCEL: 2SI I.,AD-06100 1 RUBDIVISION. . . . DOVER LANDING ZONIN13: R--4. 5 E+I_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . ..44 ------ — GLP.5S OF wom-,,. . :ALT GARBAGE D I SPOSOLS. . : MOBILE: HOME SPACES. TYPE OF USE. . . . :SF WP.SHING MACK. . . . . . . a BACKFLOW PRE=VNTRS. . : I OCCUIDANCY GPP. . :R3 FLOOR DRAINS. . . . . . . . TRf)P,S. . . . . . . . . . . . . . . STORIES. . . . . . . . : WATER HEATERS. . . . . . : CATCH BASINS. , . . . . . a FIXTURES----.---------- LAUNDRY TRAYS. . . . . . : SF RAIN DRAINS. . . . . : S T NKA;. . . . . . . . . . : UR I NAL.S. . . . . . . . . . . . . GREASE 1 RAPS. . . . . . . : LAVATORIES. . . . . a OTHER rIXTURE.S. . . . . .. TUB/SHOWER5. . . . a SEWER LINE (ft ) . . . . : WA'T'ER CLOGETS. . : WATER LINE (ft ) . . . . r DISHWASHERS. . . . : RAIN DRAIN (ft ) . . . . : Remarks : SPRINKLER SYSTEM Owner FEES RICK LBk N type amol_tnt by date recpt 10567 SW TUA!_gTIN DR PRMT E 15. 00 JLH 0 /26/91 — SPCT E 0. 75 JLH 07/26/91 TIGAPp OR 97224 Contractor: OWNi.R I t1 one #: 15. 75 TOTAL ------- REQUIRED INSPECTIONS ------- Tn1s permit is issued subject to the regulations contained in the Final inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applicable laws. Ali work will be done in accordanue with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 divs. I'er•mittee Signature : isso_ted By :� Call for inspection — 639-4175 W W W A w w CITY OF TIGARD PLUMBING PERMIT 13125 SW HALL BLVD. P. O. BOX 23397 Applicants must !hold Oregon ttegfstration to eondua a plUmWng T I GARD r OR 97223 buunesS or nuns be property owner/operator not hiring otrtside Wp. r Nameo<Oevebffnell (503)639-4175 I Plumbing Permit No.Doscriphon �- Addross - - Job ORS o14-2i-wo QUAN. PRICE AMT. Tax lot Map.Pio. - -- Addroae FIXTURES lit Mock StA)cWson - - - Sink 7.50 _- N&nwa""twits -_ lavabry 7.50 2" Tub or TtofStmwer C4xnb. :.so USG Sthower Only _ _ -_7.50 - Owner WalerGlosd 7.50 972 er 21f Dishwash — _--- _ 7.50 Y Phone GaAarps Disposal 7.50 2L3 yz�� a WashbV Machine 7 50 Floor Drain- - - - 7.W rt+ss Phone --- WakwWater _,— 750 Occupant City/State zip lAundry Room Tray ---- ---- 7.50 Urinal_ 7.50 a me '�- O*w Rxl res(Spe&y) - 7-50 1�vTirigess -- 7.50 phone - -- - - - 7.50 Contractor City/State ZIP ----- _- -_--_ -----750 -- ---- WSCELLANEOU �- C:ity Moa.Tax No.- Sewer 1 s1100' tele Sewer-*&Add4100' --- 15.00 -- (F*'_�'da0 - - -- Water SerAos 1 st 100' -- 20.00 I hereby r d nowfodps flat 1 here road Itis Wale►Sennos a&Addit 2 ' 15.00 .ppFcasr-.n,th.t a.s int«ms;rion given is coned,OWA am registered with the Stale BulWo Mooed.and&I&-) Sk mt&Rain Drain 1 st 1 oa� 50.00 have a Stab PlurrtMng k nee ow the nunA tts giran aro oonvd.that ell -- ' P'xnbqsg work writ be dome in eocontar"with a ppiceble provisions of Ore- Sk mt 6 twin Drain Addil.100' -- 15.00 -- Pon devised Sty"as Chaplers 4 47 erxl t3ani end app&**cods and Ohm mob"I flute Speoe 25.1110 no help wM be empbyed fillets kensed under ORS 693 (II exempt horn State re91,90-atitm.phase give reason be". Baric Flow Prevention WWFf)AW=RS-1 hereby arrhly that 1 am the owner of the property de- Device or Anti f' lkkon r vice 7.50 a«bed abov a.at wttldh ocaaon 1 propose lu make s plumbkV ir»talsdon or Any Tap a Weew Not - - my 7wn vee aril Itis property Is not bekV corn marled for tale.base or rsnl :wtrtsc.'fsd b e Fa4re 7.50 --- -- --- - -_-- - __-- CaldtBasin 7.50 Insp.off)M.PkxWng 40.00 Per W -- -------- ---___..__.._.-- c lty40.00 Per fM. Altar.of Pkw**p within - _ en Eoo*p Bldg _ 15.00 min. AUTl*YilZFO.WNATURE -- lWe New Mag.or Mufld.Addhon - 25.00 mkt. 13Wn DZM, ' ole Lemli . Deicribe work new❑ addition Q atleration(3 repair❑ d-el lir 15.00 Ire dim - - reskfefdial Fl" nonTeeidet AI _______ - - - - I-Altro use of btAdingrxt>"3pec1Y___----_-- i_--,-- $25.00 minimum SUB-TOTAL F'ra i 0"of y--�-- 5� SURCHARGE txil *R ofpiopetty--,_.._— --- ---- -- 25% PLAN RBVIBW NOT1CtE - - - -- - ------- --- ---- Thew Permit beoorotee nu$and wvid r wxt or oongruodon ac4wUod Is not corn TOTAL nVottaed tvkftkt 100 deyw w•orpvdnr7fon or work f.eteperahed or atwWo_hed kir a fOAM ret 190 days e1 airy Mr.atter wo"k le oonrwwhosd- WvrtALOOHOfTlOtt3._. -------- DaM Issued _ by __ CITY OF TIGARD RECEIPT (IF 1='AVIIENI RECEIPT' NO. 19 1--2 t'577a CHECK Amatim'r - 15. 7`rNAME, a t-ONERGAN, RICHqRD ADDRESS 10567W TUALATIN DR CASH AMOUNT 0. 00 PAYMENT DPTE e,7/26/'91 1311 TIGARD, OR 97224-- USD I v 1 11;TON 1-wURP()SE OF PAYMENT AMOUNT P A 11) PURPOSE OF PAYMENT AMOUNT PAIn Ci PERM- 19. 00 31". BUILD PEP 0. 75 SPRINKLER PERMIT TOTAL AM0L1NT PAID 15. 75 ( - CI7Y OF 71FA RD MECHAN I CAL RD P UR M I T COMMUNITY DEVELOPMENT DEPARTMENT am*" 1ERMIT #. . . . . . . .. IIEC91-0118 13126 SW HWI Blvd. P.O.Bar 23307, pI,TIM,Onigon 97 (SMN )O4175 47 :il.TE ADDRESS. 10567 SW TUALATIN DF) PARCEL: 25115AD-061061 SUBDIVISION. DOVER LANDING ZONING.- R--4. 3 BLULK. . . . . . . . . . .. LOT. . . . . . . . . . . . . .44 CLASS OF WORK. . :ALT FLOOR FURN. . . . i EVAP COOLERS: TYPE OF USE. . . . :SF UNIT HEATERS. . . VENT FANS, . . - OCCUPANCY GRP'. . : R3 VENTS W10 APDL: VENT SYST5PIS: 5 TOR I EfS. . . . . . . . .. SO I L E RS/COMPRESSORS HOODS. . . . . _ . rUEL 0-3 HP. . . . : 1 DOMES. INCIN: IELE 3--15 Hl-",. COMML. INCIN- MAX INPUT: BTU 15--30 HP. . . . REPAIR UNITS: FIRE DOMPERSI. . : :30—�:*,0 HP. . . . WOODSTOVES. . - GAS PvaSSURE. . . : 50+ HP. . . . : CLO DRYERS. . : NO. CC UNITfi-------- AIR HANDLING UNITS OTHER UNITS. F"URN ( 100K BTU: 10000 cfm : GAS OUTLETS. H.WN ) =100K Lk*TLJi > I0000 k:•fm- F-!efffar-ks : AIR CONDI'TIONEP/NEW THERMOSTAT owner FEES RICK & MARY LONEGRAN type aMOUnt (jy date t-ecpt 10567 SW TUALATIN DR PPMT 1 16- 00 JLH 07/10/91 5PCT $ 0. 80 JLH 07/10/91 116ARD ON r-,hune #.- CLIMATE CONTROL HTG & A-(,, 3315 NW 261H AVE POPTLAND OR 97210 Phone #.- C-�`3-4393 1 16. 80 TOTAL Rep #. . : 62196 REQUIRED INSPECTIONS ------- This pi;*At is issued subject to the regulations contained in the Final Insoection Tigard Ainicipal Code, Gtatt Of Ot'P, Spl!C161tv Codes and all other aPplicablt law,. All work will be doni: in accordance with aprjroyed plans. This permit will empire if mirk is not started within 181 days of issuance, or if work is suspended for More than 161 days. .......... Permittee Siqnat,.tr-r rss�.teij By : Ea� l for, nspection C-339-4175 CITY OF T IGA►RD MECHANICAL PERMIT Hecetpt # ------------_--.--- 1312 5 'SW HALL BLVD. i P. O. BOX 23397 11ln1' Daacriplion T IGARD, OR 97223 c_t I U Table 3A Mechanical Code _ OTY PRICE AMT (503)639-4175 1) Permit Fee ' o 0 10.00 -- Name of Development 2) Supplemental Permit 3.00 Lof,jt2 R G-f W I Job Address 11 600 Furnace to 100,000 BTU - . incl.ducts 8 vents Address _I -AL) I ukL- A-r- (J D "` Tax Lo, Map Nu. 2) Furnace 100,000 BTU + 7.50 incl.ducts&vents Lot Block Subdivisioft Name(or name of business) 3) Floor Furnace 6.00 incl.vent Mailing Addressl Phone 4) Suspended heater,wall heater 6.00 Owner -5 S-23 -- 2U 6 or floor mounted heater city/state Zip 5) Vent not incl.in 3.00 appliance permit Repairof heating,refrig., Name(or name oft siness 6) 6.00 cooling,absorption unit Mailing Address Phone 7) Boiler or comp to 3 HP I 6.00 Occupant absorp.unit to 100,000 BTU Ciry/Stale Zip 8) Boiler or comp to 3 HP-15 HP 11.00 absorp.unit to 500,000 BTU Name 9 ) Boiler or romp 15-30 HP 15.00 absorp,unit 1/2-1 million L_L t Vel OQ T 6r`,1�"T� Melling Address Phone 10) Boiler or comp to 30-50 HP 22.50Ut Z23 3 absorp.unit 1 -1.75 million _ Contractor Boil jr or comp to 50 HP 31.50 City/State Zip 11) absorp.unit 1,750,000 BTU ibjeLAND -7/0 Air handling unit co 4.50 State Registration No. City Bus.Tax No. 12) 10,000 CFM _ G 21 ?6 Air handling unit 1 hereby acknowlodge that 1 have read this application that the Information given is 13) 10,000 r.FM + 7.50 coned.that I am the owner or authorized agent of the owner•that plans submitted are in compliance with Stale laws,that I am registered with the Stale Builders Board,that the 14) Non portable 4.50 number given Is correct (If exempt it)m State registration please give ranson below). evaporate cooler --- _ ----- ----.._..-- -- -- 15) Vent fan connected 3.00 to a single duct 16) Ventilation system not 4.50 included in appliance permit Hood served by 4.50 '(�- // 17) mechanical exhaust vi _ Signature(ownerr or agent) Date 18) Domestic type 7.50 Describe work ❑ addition ❑ alteration ❑ repair LJ incinerator _ to be done residential L-1 non-residential O 19) Commercial or industrial 30.00 type incinerator Existing use of building or properly __ _— 20) Other i.e.,woo ,water 4.50 heater,solar,cllothesothes dryers,etc. Proposed use of building or property _ 21) Gas piping one to four outlets 2.00 Type of fuel- oil ❑ natural gas ❑ LPG ❑ electric ❑ — 22) More than 4-per outlet NOTICE SUB-TOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK OR CON- 5%SURCHARGE TV- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTEP TOTAL__T__ "zU WORK IS COMMENCED. Sneclal Condit*ons _—__ _ Date issued by IF o y }tif 'C'�d�' co r it Q dT11� 4 +j W U ... c.., 0 U 0' Cd � m r. cr Iv b 14 c o� o U ap N u !� o y b rq ��. to� u� A 10Q 1 AS 1 ( I r>A �1 a 04 co kA/ Lt t �� Iwrat•6'ie'tM�ian#aaarea�cctc�iiwwravu.ta,zzalcY�rm �sxaaiira�mr:.�:vi :iiY.a.s�,,::' 'e�:�s3:�'niiitinsiau!I} ��`1���1 `' � `, �l�\�—,1O�����„L r,:�. .� ��;-7f".����, —��;;��-C7--�'.rr���1 � N �T�r1 Si'• 1t"l� (�� ��Al '�7 Y r'�•`C�' �y���'W-,tSf Off''!R lPpi � � e � �. :"M. '�. _.M��� • S�.-�r�,. /•/\'/ CITY OF TIGAR D PLUMBING 13175 w HAA 111%d. Applicants must hold Oregon Registration to comiud a plumbingPERMIT TigardCR 972-23 75 business or must be property owner/operator not hiring outside help. Name o1 Derabpmsnt 143-3 ��.y e/'� Plumbing Pe mil No. p Addroei Z6 7 R-r OR 6S 14.21.610 QUAN. PNK;E AMT Job lax Lot Map.No. Address FIXTURES La �Z Block SubdivisionSink - ----- 7.50 ams or name siness — Lavatory -- - - 7.50 1 �- > Tub or Tub/Shower Comb r 7.50 7,5L mailng Address Shower Only - 7.50 PI D B0 232 - - — - Owner / tate WaterCbset 7.50 2 e (�9 p� 9 l.2 2 3 Dishwashe, � � _ 7 50 _ _-5 Phone _Garbage Disposal ' 7.50 7: 3 Ll 7 Szf J Washing Machine I - 7.50 �. Name --- - Fbor Drain _ 150 al i••"I 7C.1(lress Phone Water Healer -_-.- .- - �- 7_50L Occupant CityiStale --- - rip - Laundry Room Tray --- -i 7.50 Urinal 1.50 _ amq / PFone Other Fixtures(SpeciM) -- - 7.50 malloing-'Address Ph" - ---- — 7.50 _ 7.50 Ci(_ ?.W Contractor /state Dp'77'6,1\ -OR O R q1 zZ 3 MISCELLANEOUS 'CRY-Bus Tax No sewer 111100' 30 W E' / -7 Seww♦a.Addit.100- 15.00 M s &A teP ms us -- licee a P13 Water Service 114 100' i - -20—°°- I hereby acknowledge that I have plod Ihb apnication,ti,a N»kdormatlon Water Serviov-m.Addt.X0' - giwn is oon*ct.that I am registered with".w Sots Builder's Board.am also Storm a Raft Drain t at.100 50.00 hese a Stale Numbing iosnes that the nur,kh..s QKW are oon**",that an Skim 8 Pyo Drain AddH 110' -- 1500 - Pk-bing wor, will be dons in amwdanoowwpNcebls prV Wil ss o10re . _ _ ___---- -- gon H-400d S•*luta Chapters 447 and 093 and applicable,codes wld that Mobile Home-aaoe 2s oo nn help will be,"vbyed unim W*nsed under ORS 699 (11 exempt from - - -- - - _.-- ---- State regletralb,n,pleses g�v#reason btilow) Back ow Prevention osv+a 7 50 KOMEOWNERt, -I h reby aarWy#WI am the owner of the property de- _ evice ot vice__ -. sat and above.r 1 whloh locxatxs I propoN b rrnaile a r+r.n 7k1g k1raWMbn lex I Any Trip or Weele Not ---- - - __ my iwwt uas Mx Nile property M not being wnrtrucked for RHs.Maw Or rent Co►xMiclad to a Fb*" 7.50 Catch Basks _ 7.50 -- kyp,of E".Pkartling -- 40.00 Per Hr Specie Requened Inspedlons -- - _ 40.00 Per sir Aver.of PMmrnbkq wiNMn an Existing Bldg15.00 Inln -- AU''NORIZEO StGK%'t Dnjra. i Daft NO Oft.or Build,Ad~ - - 16.00 im �� — ------ ��c�•e falulY _ Describe work rmw addition❑ aMerauon❑ reryalr(l dweLlin9..-__--__-.--- 15.5) tQbs dons - reelderltial Mz� non-lvsidetltlal -.-- - � Extatlrlp Lae of ` _ ^.Alder or propp-,y____ - __ ____- __ t11A•TOTAL :> Z c narlcE __ _ 'Tisa parrrli beoonsatl null arxi 1 �MOAt a tlarfaaU0N011 NiNnr�asd kf nvl Dom ittlartrta0 WNW IWO days p r N nsnairl 0gW or Marls 1s*Apwwled cr aborklo sed la spa of t!0 Days M"On%,ltlbr work Is oer N irsoad - - -- Oat laatlad 4vZb, V 11'.11 Also 111'ras- t i / Nfflff BUILDING PERMIT APPLICATION DATE _ JL11y 19 � "4 5 684- THE UNDEnsIGNED HEREBY APPLIES FOR A PERMIT FOR THE`A'ORK HEREIN INDICATED BUI'-DER PHONE ---$3 OR AS oHOWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPECIFICATIONS OWNER PHONE LOT N0. OWNER 11 `..: i i�rr JOB ADDRESS 1056-t SW 't'lalatiil Dx i.va 2t;llav" ! -- ARCHITECT ENGINEER BUILDER — _ ADDRESS --_ DESIGNER STRUCTURE NEW Ll REMODEL Li ADDITION ❑ REPAIR ❑ RENEWAL ❑ FIRE DAMAGE ❑ DEMOLITION a RESIDENCE G COMM ❑ EDUCATIONAI. G GOVT ❑ RELIGIOUS ❑ PATIO ❑ CARPORT I-1 r-ARAGE ❑ STORAGE ❑ SLAB❑ FENCE OCCUPANCY t't-� LAND USE ZONE R4 •5 BLDG. TYPE SI IRE ZONE —_PLAN CHECK BY �C7R.H�EAAT,.� -_ (�nt�£4t't^tart' 'nq1 II':1liTV� t�L/fl71;�-it/attached ��� �+►��a-.--- '"!_+hinct. to 65 code. RETS£13F of 6011 SEWER PERMIT_# 34011 3 baths, 12 traps ga-tngel area 412 u — OCC.LOAD _ FLOOR LOAD 4 0 HEIGHT `2'O NO.STORIES 2 AREA 164�-NO.BEDROOMS 3 VALUE` 7600n BUILDING DEPARTMENT SETBACKS FRONT 20 REAR `t2 LEFTSIDE � RIGHT SIDE �'• � r] .IJ�a —_—� - Permit 361 .00 THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING 40 0t? REGULATIONS ANO ALL APPLICABLE CODES AND ORDINANCES, ANn IT IS HEREBY AGREED THAT THE Plan Check WORK WILL gE DONF '"' ORDANCE WITH THE PLANS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPUCAF 3 AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE Subtotal RESTRICTIVE COVE NTRAC70R AND SUB CONTRACTORS TO HAVE CURRENT CITY BUSINESS 0,• LICENSfi.SEPARATL --UUIRED FOR SEWER,PLUMBING AND HEATING. State Tax 8. �!` :, �On 419.05 SDC- Total PDCM T T 150.00 APPLICANT ON A(3FNT By 40.00 Receipt No. r ---- — Approved 379.05 ADDRE89 PHONE r DATE INSP. TYPE INSPECTION REMARKS I PLUMBING DATE ront.actor Permit No. Flough-in Fixture Final HEATING tract 1. 9 1 -1 7D �Ze�-- ermit No. Gas Or Oil Final SEWER Finel _Z12 -L2 DRIVEWAY Final Storm Do ainage Main Draint anal Sidewalk Curb&Street Final Approach DEPT.- -fEMI;-&Wi�RY CERTIFICATE OCCUPANCY Find CERTIFICATE OCCUPANCY Landscaping Zoning Final I a 11 Ila CITY OF TIGARD BUILDING DEPT' .:TMENT PLAN CHECK NO. : - PLAN CHECK APPLICATION DATE RECEIVED: 9 P.O. Box 23397, Tigard OR 97223 P/C DEPOSIT PAID: '/Q This is to certify that the a,-:ached __ sets of plans have been submitted for plan check pursuant to the Oregon Structural Code and Fire & Life Safety Code, V ;_^ edition. PROPERTY OWNER: OWNER'S ADDRESS : _ CONTRACTOR: TELEPHONE: JOB ADDRESS: /U T �Q LOT NO. & MAP: DESCRIPTION OF WORK• Approvals Required SPECIAL NOTLS OPlanning Dept. O Reissue OEugineering Dept. O Flood Plain/'Sensitive Lands O Fire District O Sewer Availability O Other O Other Items Required List of subcontractors vBusiness Tax 0 Calculations OTruss Details 0 Parking Plan OLandscape Plan O Cther COMMENTS: City of Tigard Building Department BY:- L• CITY OF TIGARD PLUMBING 13125 cM H&U Wvd- Mplkanh mm Wd Oregon Reglstration to condud a pluntbintTigsrd M, 97223 PERIdI IT 6:g-111?5 business or must be property owner/operator not hiring oullide hclp. Name of Dweiopr enl 4: 2y mems FMumbrnµPermit Nn. Aft"a_ Description S G 7 j L> OAS 814.21-010 OUAN. PRICE AMT Job tax too --' Map.No. Address - FIXTURES t.ol Biosis Sart>'Oivlslon - Sir* 7.50 Name nuns ss Lavalary v —_ _- 7.50 Tub or Tub/Shower Combs _ _ 750 s Shower OMy Owner / ute --lip —— Walw C40801 - - — - 7.50 3- _-- Dishwasher - - - 750 / Garbage Disposal .2-50 I WasNngMachme 7.50 Floor Dram 7 50 I a 7,,n-9-;Ir—es s� -- - --- 1'ttcxie4 --" Water Healer--- - - - 750 Occupant -- Laundry Room Tray 7 50 OCCU p 'a,y/Stals - Zp -- - _ - Urinal 750 Oitw Fixtures(Specify) - 7 50 es3 750 Contractor /Stale - Zip 7 50 _ MISCELLANEOUS -------- ----- :Ay Bua fax No Sower110 100. - 3000 - s Ekis Lic 90 Sawer•es MOA 100• -- - -- 1500 ((iesdsnbell Water SwvkA 131 100 Waller Service ea.Addit�' 1500 I hereby eckrrowbdgs OWI have rand thea sglpNcaso.t,tinct lets krlormatlore _ _-- _ _ -- glwn is oorred.bO 1 am ropivived with to Stall WkWe Board.and also Storm a Rain Drain 1 at.100' 30110 _ two a Slab Pkx,#A kenee that ew nuffbers gtwn cre correck ow ati Storm a Pyr,Orale+Add1 100 --- - 1500 cxdanoe pkrnbwig work wd be dons in aooYOM applicable fm 's d Ore- gon Revised Stef4Aas s 417 and M and appk@ble cots"and Thar hlabMe Nome Spada 2500 no help wi be wrtpbyed unless Noerwd wxW ORS 093. (11 exempt fromBarin Flow PravwMion -- Stab regissraslon,please"reason below) HOMEOVVNEM -1 hereby oerWy taws I am lee owner CO to pMpwwty ds- Devise orArni•PobotionDewos -- - 50 sorbed shave,M whish Im r so m 1 propr»e to malas a p6mvt g kw%Wk*n kx Any Trap or 1Nesb^lest "q o"m use and 0*proparq►In no bOV oorwMnaeled toe sale,lama w rw" OtrnMrid b a Fitm" - 7 50 catch Sall+ inep of a". - — � . _ 40,Orr per 1k -- -- I Specialty Rfrquealed MnapeaYorn -- b-��M-►� Aber of Pbxt6Wp will do j - on EdeMrV 1_S 00 mM TUBE New 91dp.or DL*d.Additn - -- - W00 nwn- work norwo sd Mion[] diiell MOD ice'' Ex"q lms of b�u got aar �w1IlMtlttANl3��rINNAM�tirttM 11�11f1MonssfMro+tf"anetown+ t1M1r11 tlA���w��1�filMNNMbMM.M�t,1Mta��nr lbandnnad 1a � w I i I r PLAN CHLCK tot inspections call 639--4175 CITY OFTIGARD 639.4171 PERMIT N0.- BUILDING PERMIT GATE ��--__ CV'�l P.U. Dox 23397, Tigard OR 97223 TAXMAP,:Et� 40LOTNO. / SUBDIVISION Lon lt. ; owNCR___ I ,D roe AooaEss /61 7 S' Icy'It� - BUN.DER IV,1 ' l f'r p�L, ``C STATE REG.NO. _ EXP.DATE BUILDER'S PHONE __ J 7N 3 ..�.�---- ARCHITECT—_._ _ _ PHONE ---OTHER STRUCTURE HEW ❑ REMODEL ❑ ADDITION ❑ REPAIR ❑ MOVE O OTHER 0 DEMOLITION (:]'RESIDENCE, ❑ COMM ❑ EOMATION ❑ INO ❑ RELIGIOUS. ❑ACCESSORY G GARAGE O OTHER O FENCE OCCUPANCY `y LAND USE ZONE X y BLDG-TYPE T "� FIRE ZONE. PLAN CHECK BY Construct single family dweil1ng w/attar_het nar�pp_,�1_l_p&,r afp,r-ou-ed_p.l-in.c-.— -- S_ h-P�t_Ls2_8 5 C s7 d e,_ 41- j S-T Ii t ------ (S� t 5 set F SEWERPERMIT I, 1.,, . � -(Idu) _ baths, /,2. traps garage areaOCC.LOAD FLOORLOA_0 Y HEIGHT -1 NO.STORIES %•' AREA/, N0.13F.DAOOMS `Z VALUE BUILDING DEf ARTMENT SET BACKS FRONT 2 (r' REAR LEFT SIDE RIGHT SIDE S rP1. rmll 3 G THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIOI4S CONTAINED IN THE BUILDING COOS, ZONING REGULATIONS AND ALL APPLICABLE CODES AND OR .NANCES.AND IT IS HEREBY AGREED THAT THE anCrvck WO1IK WILL BE DONE IN ACCORDANCE WITH THE PL..NS AND SPECIFICATIONS AND IN COMPLIANCE WITH ALL APPLICABLE CODES AND ORDIHANC THE ISSUANCE OF THIS PERMIT DOES NOT WAIVF Ck Fk* RESTRICTIVE COVENANTS.CONTRACTOR AND S CONTRACTORS TO HAVE CURRENT CITY BUSINESS TAX PERMrrS.SEPARATE PERMITS REOU(RED FOR EWE PLUMBINO AND HEATING. Slate Tax' SS OC SDC— Q. prope Recelpl No A ORESS �. PNONE Bal.Due -- Issued By ---_--Approved By-- S S Dc y—SSDc S 0 C -' '� 6 �' �, s RECEIPT b _ P 0 C - - / DATE PD. SEWER CONNECTION S / el p _ AMOUNT PD. SEUCR INSPECTION S 3+5 SEWER SURCHARGE S o mm e n t e r 1 CITY OF TIGARD MECHANIC. _:EMIT -- Permit k ' Description Table JA Mechanical Code _ _ _ CITY PRICE AMT City of -Tigard — � -� - 13125 S.W. Hall Blvd. 1) Permit Fee 0 •0- 10.00 P.O. Box 23397 — - Tigard, OR 97223 2) Supplementhl Permit 3,00 639-4175 Furnace to 100,000 BTU - 1) incl.ducts&vents / 6 00 Furnace 100,000 BTU + 2) incl.ducts&vents 7.50 Name of Development Floor Furnace -- -- -- --- incl.vent Job Address Suspended heater,wall heater / 4) or floor mounted heater 600 Address / 10 s Qs ; s _. Tax Lot Map No 7 Si'- s � Vent not incl.in 5) appliance permit 3.00 Lot Block Subdivision Name(or name of business) 6) Repair of heating,refr ig., 6.00 7� cooling,absorption unit Halling Add ss Phone Boiler or comp to 3 HP Owner 7) absorp.unit to 100,000 BTU 6.00 City/State Zip - 8) Boiler or comp to 3 HP-15 HP-` 11.00 _absorp.unit to 500,000 BTU r' „e _9) Boiler or comp 15-30 HP absorp.unit Ya-1 million 15.00 � Boiler or comp Mailing Address Phone 10) p to 30-50 HP 22.50 absorp.unit 1 -1.75 million Contractor cifyrstate -- --- Zip - Boiler or comp to 50 HP - - -- t 1) absorp.unit 1,750,000 BTU 31.50 StAle Regi9lrafkm NO City Hus Tax Nn ) Air handling unit t0 12 10,OOO CFM 4.50 I herebyacknowledge 13 Air handling unit edge that I have read this application that the information given is ) 10,000 CFM + 7'50 r�rrecf,that I am the owner or authorized agent of the rwvner,that plans submitted are in ---- compharwe with State laws,that I am registered with the State Builders'Board,that the Non portable T number given is corred (if exempt from State registrafinn please give reason belnw) 14) evaporate^ooler 4.50 ) Vent fan connected 3.00 _. to a single duct - Ventilation system not 16) included in appliance r t 4.50 / - - Hood served by -- __ ' 17) mechanical exhaust / 4.50 y •? S(gnet6A.( r egeni) Date Domestic type 18) incinerator 7.50 Describe work � addition L I alteration O repair [1 __ to be done residential Z non-residential O_ Commercial or industrial 1 ) type incinerator 30.00 Existing use of _-- YP building or properly^-_ 20) Other i.e.,woodstove,water 4 50 ? ` Proposed use of _heater,solar,clothes dryers,etc_ building or property�_- - _.. - 21) Gas piping one to four outlets 2,00 Type of fuel- oil ❑ natural gas ] LPG I I electric (7 - 22) More than 4-per outlet NQTICE --- — --- ------ - SUBTOTAL THIS PERMIT BECOMES NULL AND VOID IF WORK Oil CON ------ - ---- -- STRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 _ _ 5 4%SURCHARGE � DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR PLAN REVIEW 25%OF SUB-TOTAL >`' ABANDONED FOR A PERIOD OF 1 BO DAYS AT ANY TIMF AFTER - -- --- - - WORK IS COMMENCED TOTAL cc) ' Special Conditions --- - - --- Date Issued byt